Individual
LANCE NISSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5118
(717) 782-5854
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS020413
PA
Other
Enumeration date
04/19/2018
Last updated
05/13/2026
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